NPIMap

Individual provider Active NPI

Jeffry S Lester, MD

  • Family Medicine Physician
  • Henryetta, OK
National Provider Identifier
1881723872
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10800 Issued in OK
Practice address
104 E Shurden Industrial Blvd
Henryetta, OK 74437-7323
Phone
(918) 652-9614
Fax
(918) 652-4831
NPI assigned
Mar 5, 2007
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10800 OK Primary
Occupational Medicine Physician 2083X0100X 10800 OK

Addresses

Primary practice location

104 E Shurden Industrial Blvd
Henryetta, OK 74437-7323

Mailing address

104 E Shurden Industrial Blvd Ste a
Henryetta, OK 74437-7323
Phone (580) 225-2513

Other practice location 1

1901 W 3rd St
Suite A
Elk City, OK 73644-4337
Phone (580) 225-2513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080528000259 OK Practitioner - Family Practice 9638075062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 W 1St St
Elk City, OK 73644-3133

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10800OKMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farmers Union Hospital Association CurrentSince Mar 10, 2014 Accepting new patients
Farmers Union Hospital Association CurrentSince Mar 10, 2014 Accepting new patients
East Central Oklahoma Family Health Center, Inc. PastSince Nov 1, 2019 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

1801 W 3rd St
Elk City, OK 73644
Phone 40584358551407

1901 W 3rd St
Ste A
Elk City, OK 73644
Phone (580) 225-2513

Interoperability endpoints

  • Direct secure messaging: jeffry.lester@gprmc.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1881723872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E SHURDEN INDUSTRIAL BLVD STE A",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744377323",
            "telephone_number": "580-225-2513",
            "fax_number": "580-303-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E SHURDEN INDUSTRIAL BLVD",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744377323",
            "telephone_number": "918-652-9614",
            "fax_number": "918-652-4831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W 3rd St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Elk City",
            "state": "OK",
            "postal_code": "736444337",
            "country_code": "US",
            "telephone_number": "580-225-2513",
            "fax_number": "580-303-5863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESTER",
        "first_name": "JEFFRY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "10800",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OK",
            "license": "10800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henryetta, OK

Sources for this page

Verify at the official NPI Registry.